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TOPIC: PMMA and Insurance

PMMA and Insurance 12 years 2 months ago #1272295011

Here's a question for any members that may be involved in the business side of medicine or the insurance biz: Let's say you have the PMMA procedure done and a couple of years down the line, you experience a complication that may require surgery or other treatment. Does the fact that PMMA is not FDA-approved, or that you had the procedure outside the country automatically give your health insurance provider a reason not to cover you? I know that different policies have different conditions, I'm just wondering as a general rule'

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PMMA and Insurance 12 years 2 months ago #1272303075

Let\'s put it this way.

No one will ever want to touch your manhood if you have problems with PMMA. Not only will insurance not cover you, you\'ll be searching in vain just to find a doctor perform on you if you ever have complications.

Your body will eventually reject the PMMA and you will have complications when your body does reject it. I know there are people that don\'t want to hear this, but PMMA is a terrible choice for Girth enhancement for these reasons.

IMO, if you want Girth, go with FFT, or grafts, regardless of what anyone says about those options on this site. At least you will be able to find a surgeon to operate on you should you ever have any problems.

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PMMA and Insurance 12 years 2 months ago #1272303178

Tulsaguy wrote: Let\'s put it this way.

No one will ever want to touch your manhood if you have problems with PMMA. Not only will insurance not cover you, you\'ll be searching in vain just to find a doctor perform on you if you ever have complications.

Your body will eventually reject the PMMA and you will have complications when your body does reject it. I know there are people that don\'t want to hear this, but PMMA is a terrible choice for Girth enhancement for these reasons.

IMO, if you want Girth, go with FFT, or grafts, regardless of what anyone says about those options on this site. At least you will be able to find a surgeon to operate on you should you ever have any problems.


Tulsaguy
That\'s quite a sweeping statement, especially coming from a guy who up to a month ago was planning on having the procedure done himself.
You may be right, but then again you may be wrong...And to state something so admanetly when there is no definitive evidence to prove otherwise is perplexing to me...Especially given your sudden 180 on the matter.

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PMMA and Insurance 12 years 2 months ago #1272303573

Agree with Messageman, Tulsaguy-not really helpful since you\'re just giving your opinions and presenting them as facts.

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PMMA and Insurance 12 years 2 months ago #1272303777

I think it is premature and unwise to become so conclusive over PMMA\'s long-term effects. The articles & reports we\'ve heard regarding complications have seldom stated the type of cannula, the brand of PMMA, or the skill-proficiency of the administering physician...that being said, it is quite possible that many of these previously reported complications were a result of poor technique and/or product.
Hell, even Fran_Berlin (first forum reported granuloma) states in a correspondence that his first round was performed by Dr. Valter\'s son, who was in training.
Be careful what you assert as fact or opinion, and please be clear in your distinction.

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PMMA and Insurance 12 years 2 months ago #1272303788

Tulsaguy wrote: IMO, if you want Girth, go with FFT, or grafts, regardless of what anyone says about those options on this site. At least you will be able to find a surgeon to operate on you should you ever have any problems.

I\'m not sure that grafts or FFT would be anymore covered by insurance than PMMA...can someone with more insight explain otherwise??

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PMMA and Insurance 12 years 2 months ago #1272304968

Tulsaguy wrote: Let\'s put it this way.

No one will ever want to touch your manhood if you have problems with PMMA. Not only will insurance not cover you, you\'ll be searching in vain just to find a doctor perform on you if you ever have complications.

Your body will eventually reject the PMMA and you will have complications when your body does reject it. I know there are people that don\'t want to hear this, but PMMA is a terrible choice for Girth enhancement for these reasons.

IMO, if you want Girth, go with FFT, or grafts, regardless of what anyone says about those options on this site. At least you will be able to find a surgeon to operate on you should you ever have any problems.

Finding a surgeon to operate on you wont be a problem even with PMMA. Guys have silicone removed, so your statement is nonsense. But even if you find a surgeon, the problems might not be fixable no matter what you have injected. Fat, just like PMMA adheres to the fascia. You might not want to hear that or whoever has been advising you might not want to hear, but it\'s true.

I know this for a fact as I\'m sitting here 2 weeks after yet another reconstructive surgery that hasn\'t worked. When my surgeon cut out the lumpy fat from my FFT, too much fascia came away and now the shaft skin doesn\'t move. I also had Necrosis when the fat was removed last year, which is the big fear with PMMA Removal. A poster called IDbraveheart at MNS also have Necrosis due to FFT. His photos are or Dr Solomons site. But the problems with FFT are nothing compared to grafts. I suspect whoever is giving you your information is trying to earn money from you.

I\'m not saying PMMA is safe and whenever people PM me to ask my opinion I nearly always tell them to wait until we know more or simply not to do it. But guys need to recognise the older methods safety record is absolutely appalling and is the key reason we have started looking at options like PMMA. As someone who had been around the surgical PE community for over a decade and been in contact with hundreds of guys who have had these procedures, it really concerns me that people still consider these older methods despite the fact it\'s perfectly clear that both the plastic surgery and Urology community have rejected them.

Liquid silicone is still the most popular form of PE in the US. It might be illegal but it\'s still big business. There are several groups and forums like this one, dedicated just to silicone enlargement or \"juicing\" as they call it. Yet if you were to call Gary Alter and ask him what most of his reconstructions surgeries are, I bet he\'s name FFT or grafts ahead of liquid silicone.

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PMMA and Insurance 12 years 2 months ago #1272308770

Tulsaguy wrote: Let\'s put it this way.

No one will ever want to touch your manhood if you have problems with PMMA.' Not only will insurance not cover you, you\'ll be searching in vain just to find a doctor perform on you if you ever have complications.

This is just not true. It may be a little more difficult to get full coverage in a tightly managed HMO plan but can be done. It should not be a problem in a PPO plan.

The key is to form a good relationship with your PCP since that is the doc who will code your initial diagnosis and do the referrals to a specialist.

Depending on the specifics of your policy you should be able to get full coverage on long term issues such as granulomas. Procedure related issues such as Necrosis may be more difficult to have fully covered

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PMMA and Insurance 12 years 2 months ago #1272310942

Thanks eqstudent! Exactly what I was looking for.

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